56J-31732-72699
2 vaccinations
7 coded responses
18 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 231 / VA
- Registered
- 2021-02-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-29
Dose 1 — Moderna
-
2021-02-17
Registered in v-safe
- 2021-02-17
- 2021-02-19
- 2021-02-26
-
2021-03-01
Dose 2 — Moderna
- 2021-03-01
-
2021-03-02
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Fever · Muscle or body achesFree text: my temp before shot yesterday was 97.3MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-03
Survey response — days 1–6 daily, dose 2MedDRA: Injection site rash — Feeling: Good · Site: Pain, Redness, Itching · Rash, not including the immediate area around the injection siteFree text: rash is 3 inches below injection point extending 3 inches. Itching very little. Redness in rash area.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-04
Survey response — days 1–6 daily, dose 2MedDRA: Erythema, Tenderness — Feeling: Good · Site: Pain, Redness · Rash, not including the immediate area around the injection siteFree text: Redness and pain to touch lessening from yesterdayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-05
Survey response — days 1–6 daily, dose 2MedDRA: Erythema, Pain — Feeling: Good · Site: Redness, Itching · Rash, not including the immediate area around the injection siteFree text: Redness and rash going away, arm no longer sore to touchMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-06
Survey response — days 1–6 daily, dose 2MedDRA: Erythema, Pruritus — Feeling: Good · Site: Redness, ItchingFree text: nothing else new, redness subsiding, slight itchingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-07
Survey response — days 1–6 daily, dose 2MedDRA: Rash erythematous, Rash pruritic — Feeling: Good · Site: Redness, Itching · Rash, not including the immediate area around the injection siteFree text: rash getting less red, intermittent mild itchingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-08
- 2021-03-15
- 2021-03-22
- 2021-04-05
- 2021-04-12
- 2021-06-01
- 2021-08-30
-
2022-03-01
Survey response — 12 months, dose 2MedDRA: Axillary pain, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Soreness in armpit still there since my 2nd shot, but lessening pain. Screened with mammography - not breast cancer. I also got my booster 11-14-2021 · Healthcare visit (other): gyn visit and mammography diagnostic takenMedDRA releases: 2024-11 · check-in free text available
-
2022-03-01
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2022-03-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-29 | Moderna | |
| 2 | 2021-03-01 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): my temp before shot yesterday was 97.3
Systemic reaction (other): rash is 3 inches below injection point extending 3 inches. Itching very little. Redness in rash area.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Redness and pain to touch lessening from yesterday
Systemic reaction (other): Redness and rash going away, arm no longer sore to touch
Systemic reaction (other): nothing else new, redness subsiding, slight itching
Systemic reaction (other): rash getting less red, intermittent mild itching
Release 11 — 12 months, dose 2
Symptoms: Soreness in armpit still there since my 2nd shot, but lessening pain. Screened with mammography - not breast cancer. I also got my booster 11-14-2021
Healthcare visit (other): gyn visit and mammography diagnostic taken
Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".
MedDRA terms by release
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Axillary pain | · | · | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Injection site rash | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Rash erythematous | ✓ | ✓ | ✓ |
| SRO | Rash pruritic | ✓ | ✓ | ✓ |
| SRO | Tenderness | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release